Is a 18cm Liver Tumor Treatable?

Understanding Giant Liver Tumors

A liver tumor measuring 18cm is classified as a giant hepatocellular carcinoma (HCC). In clinical terms, any liver mass exceeding 10cm is considered a large or "giant" tumor. At this stage, the cancer is typically categorized as advanced or late-stage liver cancer, and treatment outcomes are generally less favorable compared to earlier stages.

Evaluating Treatment Options Based on Liver Function

The treatment strategy largely depends on the patient's overall health and liver function. In most cases, surgical removal, radiofrequency ablation, or transarterial chemoembolization are not viable options due to the tumor's size and the patient's condition. However, if the patient's liver function is still well-preserved—classified as Child-Pugh A—targeted oral medications combined with immune checkpoint inhibitors may be considered. These therapies aim to slow tumor progression and improve quality of life.

Managing Symptoms for Advanced Cases

For patients with poorer liver function (Child-Pugh B or C) or those who are physically weak and unable to care for themselves, the focus shifts to palliative care. This includes managing symptoms such as abdominal swelling or pain, often through medication or other supportive treatments designed to improve comfort.

Personalized Care is Crucial

Ultimately, each case must be evaluated individually. A multidisciplinary team of oncologists, hepatologists, and supportive care specialists can help determine the most appropriate course of action based on the patient's unique situation.